Mobile Home Rental Application

Mobile Home Rental Application

This application is submitted to obtain tenancy for a mobile home space. Completion of this application authorizes the park management and its designees to verify information provided, obtain credit reports, criminal background checks, rental history, employment and income verification, and other consumer reports as permitted by law. False statements or omissions are grounds for denial of tenancy or immediate termination of any approved tenancy.

Property Information

Desired Move-In Date:   Requested Lease Term:

Applicant Information

Date of Birth:   Social Security Number:

Current Landlord / Manager:   Landlord Phone:

Monthly Rent / Lot Fee: $   Length of Tenancy:

Previous Residency

Previous Landlord:   Phone:

Employment and Income

Position:   Supervisor:

Employer Phone:   Monthly Gross Income: $

Occupants, Vehicles and Pets

Pets: Yes    No

Smoking on premises: Yes    No

References

Relationship:   Phone:

Criminal History and Screening Authorization

Have you ever been convicted of a felony or been subject to a criminal conviction that would affect tenancy? Yes    No

Authorization: By signing below the applicant authorizes the park, its agents and affiliates to obtain consumer reports, credit reports, employment and income verifications, criminal background checks and tenancy history. Applicant releases all persons and entities from liability for providing such information.

Application Fees, Deposits and Payment Terms

Application Fee (non-refundable): $   Security Deposit / Lot Deposit: $

Payment Schedule: Deposit due upon lease signing; recurring lot fees due monthly in advance on the first of each month. Late fee: for payments received after specified due date.

Acknowledgments, Certifications and Notices

I certify that the information provided in this application is true, correct and complete. I understand that misrepresentation, omission, or falsification of information is grounds for denial of tenancy or termination of tenancy. I agree that management may retain this application whether or not the Applicant is approved.

I acknowledge that approval of this application is contingent upon meeting the park's rental criteria and providing satisfactory identification, proof of income, and any required deposits. Acceptance of deposit does not constitute acceptance of the application or create tenancy until a written rental agreement is executed by both parties.

Office Use Only

Application received by:   Date received:

Decision:   Reason / Conditions:

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